Organization · Type 2 NPI
Genoa Healthcare LLC
Long Term Care Pharmacy · Bridgeport, WV
NPI number
1114642014
Active
Practice location
120 Professional Pl Rm P
Bridgeport, WV 26330-4599
Fax (812) 853-9086
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
About NPI 1114642014
Genoa Healthcare LLC's National Provider Identifier is 1114642014, issued on Oct 4, 2022. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Bridgeport, WV. The record was last updated on Jan 16, 2024.